NPI | 1811563885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 113678) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 73921) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2021-07-15 |